Individual provider Active NPI

Anthony B Oliverio, DC

  • Chiropractor
  • Crystal River, FL
National Provider Identifier
1750303186
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007559 Issued in FL
Practice address
912 NE 5TH St
Crystal River, FL 34429-4444
Phone
(352) 563-5055
Fax
(352) 563-5069
NPI assigned
Jul 24, 2006
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007559 FL Primary

Addresses

Primary practice location

912 NE 5TH St
Crystal River, FL 34429-4444

Mailing address

912 NE 5TH St
Crystal River, FL 34429-4444
Phone (352) 563-5055

Other identifiers 3

IdentifierTypeStateIssuer
55797OtherFLBLUE CROSS/ BLUE SHIELD
350043972OtherFLRAILROAD MEDICARE
381129800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000555 FL Practitioner - Chiropractic 3173622438 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neck and Back Care Center IncGroup PAC ID 6901982149, 2 clinicians

Practice addresses (Care Compare)

912 NE 5TH St
Crystal River, FL 34429-4444
Phone (352) 563-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007559FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Neck & Back Care Center Inc Chiropractor CurrentSince Jan 2, 2008 Accepting new patients
Life Medical Center of Lecanto,Inc Chiropractor PastSince Apr 30, 2003 Accepting new patients

Locations

912 NE 5th St
Crystal River, FL 34429
Phone (352) 563-5055

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1750303186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NE 5TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294444",
            "telephone_number": "352-563-5055",
            "fax_number": "352-563-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 NE 5TH ST",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294444",
            "telephone_number": "352-563-5055",
            "fax_number": "352-563-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVERIO",
        "first_name": "ANTHONY",
        "middle_name": "B",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "55797",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350043972",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381129800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.